What are some nursing implications when administering digoxin?
Nursing considerations
- WARNING: Monitor apical pulse for 1 min before administering; hold dose if pulse < 60 in adult or < 90 in infant; retake pulse in 1 hr.
- Take care to differentiate Lanoxicaps from Lanoxin; dosage is very different.
- Check dosage and preparation carefully.
Which is the most appropriate action for the nurse to take before administering digoxin?
Due to the risk for digoxin toxicity, the clinical use of digoxin has decreased and alternative, safer medications are being used. Apical pulse should be taken for a full minute before administration of this medication.
Which medicine does digoxin interact with?
Digoxin has many interactions, including:
- Erythromycin and tetracycline (antibiotics)
- Antiarrhythmic drugs (amiodarone)
- Calcium channel blockers.
- Over-the-counter antacids.
- Hawthorn (an herbal remedy)
- Black licorice.
- Large amounts of oatmeal, milk and high-fibre cereals.
Which of the following is the contraindication for digoxin administration?
Digoxin is contraindicated in the following conditions[5]: Acute myocardial infarction. Hypersensitivity to the drug. Ventricular fibrillation.
What are the contraindications of digoxin?
Who should not take DIGOXIN?
- myxedema.
- low amount of magnesium in the blood.
- high amount of calcium in the blood.
- low amount of potassium in the blood.
- a heart attack.
- cor pulmonale.
- constrictive pericarditis, or constrictive inflammation of the sac surrounding the heart.
- hypertrophic cardiomyopathy.
Which drug is contraindicated with digoxin?
Azole antifungals, which inhibit the transport of digoxin via human P-glycoprotein. Macrolide antibiotics, which inhibit P-glycoprotein, thus increasing intestinal drug absorption. Rifampin.
What medications cause digoxin toxicity?
You are more likely to have this condition if you take digoxin, digitoxin, or other digitalis medicines along with drugs that interact with it. Some of these drugs are quinidine, flecainide, verapamil, and amiodarone.
What can you teach a patient about digoxin?
Advise the patient about how to take digoxin: If you miss a dose, do not double dose. Skip the dose if the next dose is due in less than 12 hours. If the next dose is due in more than 12 hours, take the dose as soon as remembered.
What are the precautions for digoxin?
Follow your doctor’s directions carefully. The amount of this medicine needed to help most people is very close to the amount that could cause serious problems from overdose. Some early warning signs of overdose are confusion, loss of appetite, nausea, vomiting, diarrhea, or vision problems.
What do I need to know before administering digoxin?
Monitor apical pulse for 1 full min before administering. Withhold dose and notify health care professional if pulse rate is <60 bpm in an adult, <70 bpm in a child, or <90 bpm in an infant. Notify health care professional promptly of any significant changes in rate, rhythm, or quality of pulse.